Dissertations / Theses on the topic 'Access to health care'
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Blanton, Sandra. "Justice in Health Care Access Measuring Attitudes of Health Care Professionals." TopSCHOLAR®, 2000. http://digitalcommons.wku.edu/theses/714.
Full textFike, Verinda Jean Esther. "Health insurance and health care access in China." CONNECT TO ELECTRONIC THESIS, 2008. http://dspace.wrlc.org/handle/1961/5527.
Full textMarshall, Emily Gard. "Universal health care? : access to primary care and missed health care of young adult Canadians." Thesis, University of British Columbia, 2007. http://hdl.handle.net/2429/30948.
Full textGraduate and Postdoctoral Studies
Graduate
Smith, Raymond Joshua. "Frontier residents' perceptions of health care access." Thesis, Montana State University, 2008. http://etd.lib.montana.edu/etd/2008/smith/SmithR0508.pdf.
Full textKama, Zukiswa Shirley. "An evaluation of access to health care : Gugulethu Community Health Clinic." Thesis, Cape Peninsula University of Technology, 2017. http://hdl.handle.net/20.500.11838/2456.
Full textThe purpose of this study was to examine the problem of access to health care centres in the Western Cape and to forward recommendations that will improve access to health care facilities in the Western Cape. The first objective of the study was to identify trends in primary health care looking at Nigeria, with the view of learning lessons of experience. Secondly, the study provided an overview of the South African health care system. The study further examined the problems around access to Gugulethu Community Health Clinic. The research objectives were directly linked to the composition of chapters. The study utilised a mixed-method approach of quantitative and qualitative approaches. This method is called multi-method approach. The purpose of combining the two approaches was to understand the research problem from a subjective and objective point of view, as well as to provide an in-depth understanding of a research topic, which led to more reliable research results. Data collection was acquired by utilising a structured questionnaire and personal observations. Two groups of respondents participated in the study inter alia: the patients and the staff of Gugulethu Community Health Clinic.
Vedom, Julia. "Health care access and regional disparities in China." Thesis, University of Ottawa (Canada), 2008. http://hdl.handle.net/10393/25483.
Full textMorrisey, Karyn Marie. "Access to health care services in rural ireland." Thesis, University of Leeds, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.502767.
Full textCastro, Beatriz. "Access control regulation in the health care sector." Thesis, Stockholms universitet, Juridiska institutionen, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-156879.
Full textAbbasgholizadeh, Rahimi Samira. "Prioritization of patients' access to health care services." Doctoral thesis, Université Laval, 2017. http://hdl.handle.net/20.500.11794/27499.
Full textAccess to health care services and long waiting times are one of the main issues in most of the countries including Canada and the United States. Health care organizations cannot increase their limited resources nor treat all patients simultaneously. Then, patients’ access to these services should be prioritized in a way that best uses the scarce resources, and to ensure patients’ safety. In fact, patients’ prioritization is an essential but forgotten practice in health care systems internationally. Some challenging aspects in patients’ prioritization problem are: considering multiple conflicting criteria, incomplete and imprecise data, associated risks that threaten patients on waiting lists, uncertainties in clinicians’ decisions, involving a group of decision makers’ opinions, and health system’s dynamic behavior. Inappropriate prioritization of patients waiting for treatment, affects directly on inefficiencies in health care delivery, quality of care, and most importantly on patients’ safety and their satisfaction. Inspired by these facts, in this thesis, we propose novel hybrid frameworks to prioritize patients by addressing a number of main shortcomings of current prioritization methods in the literature and in practice. Specifically, we first consider group decision-making, multiple prioritization criteria, these criteria’s importance weights and their interdependencies in the patients’ prioritization procedure. Then, we work on involving associated risks that threaten patients on waiting lists and handling existing uncertainties in the prioritization procedure with the aim of improving patients’ safety. Finally, we introduce a comprehensive framework focusing on all previously mentioned aspects plus involving patients in the prioritization, and considering dynamic aspects of the system in the patients’ prioritization. Through the application of the proposed comprehensive framework in the orthopedic surgery ward at Shohada University Hospital, and in an augmentative and alternative communication (AAC) clinical program called PACEC at the Institute for Disability Rehabilitation in Physics of Québec (IRDPQ), we show the effectiveness of our approaches comparing the currently used ones. The implementation results prove that this framework could be adopted easily and effectively in different health care organizations. Notably, clinicians that participated in the study concluded that the framework produces a precise and reliable prioritization that is more effective than the currently in use prioritization methods. In brief, the results of this thesis could be beneficial for health care professionals to: i) evaluate patients’ priority more accurately and easily, ii) determine policies and guidelines for patients’ prioritization and scheduling, iii) manage waiting lists properly, vi) decrease the time required for patients’ prioritization, v) increase equity and justice among patients, vi) diminish risks that could threaten patients during waiting time, vii) consider all of the decision makers’ opinions in the prioritization procedure to prevent possible biases in the decision-making procedure, viii) involve patients and their families in the prioritization procedure, ix) handle available uncertainties in the decision-making procedure, and x) increase quality of care.
Norton, Lavinia Jane. "Individual responsibility, justice and access to health care." Thesis, University of Leeds, 2001. http://etheses.whiterose.ac.uk/977/.
Full textSun, Xiao Ming. "Health access and health financing in rural China." Thesis, Keele University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263121.
Full textNearon, Darrell Maxwell Jr. "A study of the relationship between health care access and access barriers to behavioral health care for African Americans utilizing the managed care model." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2001. http://digitalcommons.auctr.edu/dissertations/AAI3034591.
Full textNearon, Darrell M. "A study of the relationship between health care access and access barriers to behavioral health care for African Americans utilizing the managed care model." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2001. http://digitalcommons.auctr.edu/dissertations/3784.
Full textAbdelrahim, Mahgoub. "Sudan social health insurance : challenges towards universal access to health care." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/sudan-social-health-insurance-challenges-towards-universalaccess-to-health-care(cd798918-f63f-4d3d-8019-2229c89ca3dc).html.
Full textDiMarco, Marguerite Ann. "Access/Utilization of Dental Care by Homeless Children." Case Western Reserve University School of Graduate Studies / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=case1184352136.
Full textThompson, Jennifer W. "Insurance status, health care access, and adolescent smoking initiation." CONNECT TO ELECTRONIC THESIS, 2007. http://dspace.wrlc.org/handle/1961/4144.
Full textLee, Jae Chul. "Health disparities in access to health care for older people with disabilities." Diss., Connect to online resource - MSU authorized users, 2008.
Find full textTitle from PDF t.p. (viewed on July 2, 2009) Includes bibliographical references (p. 128-144). Also issued in print.
Eneh, Ann Ogorchukwu. "Access to Primary Care in Pennsylvanian Rural Townships." Thesis, Walden University, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10787679.
Full textAccess to primary care is limited in rural communities across the United States. Evidence supports primary care as the cornerstone of healthcare. The purpose of this project was to explore community perceptions of barriers to primary care access with the aim of learning about ideas for possible interventions that could improve primary care access for Mifflin County residents. Penchansky and Thomas’s model of healthcare access provided the theoretical framework for this qualitative phenomenological study. Using a community-based research approach, semistructured, open-ended telephone interviews and qualitative surveys were conducted with 26 participants, including physicians, nurses, and residents. Data were analyzed using Edward and Welch’s extension of Colaizzi’s 7-step method for qualitative data analysis. Key findings included perceptions that (a) primary care access is limited in Mifflin County due to inadequate health services emanating from insufficient community health centers, provider shortages, health insurance issues; (b) high cost and poor choice of services discourage residents from seeking preventative care; (c) distance from services reduce residents’ ability to access primary care; (d) service problems impact the quality of care received, such as a lack of provider training in opiate addiction; and (e) providers and residents should be involved in primary care service planning since they can provide valuable information to help improve access to services. Positive social change could occur through improvement in access to primary care using a collaborative approach and community involvement, in policy formation and service planning.
Du, Toit Elizabeth. "Access to care in people living with HIV." Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/12351.
Full textSouth Africa has the most people living with HIV (PLWH) in the world. With increased access to HIV Counselling and Testing (HCT) as well as expanded Antiretroviral Therapy (ART) treatment guidelines; there is a large and increasing number of people who need access to HIV care. Limited data and few studies have evaluated access to HIV care. A cross sectional survey with stratified random sampling was conductedfrom January – April 2011 to determine the proportion of PLWH in urban areas in thegreater Cape Town area who are accessing appropriate HIV care and factors associatedwith accessing care. The sampling frame for this study was the Zambia South Africa TBand AIDS Reduction (ZAMSTAR) Study. Self reported HIV positive adults were randomly selected. Self reported HIV negative adults or adults of unknown HIV status were also randomly selected in order to decrease possible stigmatisation. Consenting participants were interviewed and completed a questionnaire detailing their access to HIV testing and care. Participants who disclosed that they were HIV positive were included in the analysis. Access to appropriate HIV care was defined as one of three scenarios: 1. Receiving ART and having attended an ART clinic or collected ART medication within the last three months. 2. Undergoing ART work up and having attended an ART clinic within the last three months. 3. In PreART care having had a CD4 count in the last 6 months. 1257 participants were interviewed. 627(50%) reported being HIV positive, 487(39%) HIV negative and 143(11%) did not know or wish to disclose their status. Of the 627 HIV positive participants: 392 (63%) reported taking ART of whom 369 (94%) accessed appropriate HIV care. 25 (4 %) were being worked up for ART of whom 16 (64%) accessed appropriate HIV care. 210 (33%) were in PreART care, 81 (39%) having accessed appropriate HIV care. Females were 3.78 times more likely to be in appropriate care than males (p <0.001), and a person in the age category greater than 45 years was 4.63 times more likely to be in appropriate care than someone in the age category 15-24 (p= 0.002).
Whitener, Louise M. "Using Hongvivatana's model to evaluate health care access : a field study of adolescent women's access to reproductive health care services in rural Missouri counties /." free to MU campus, to others for purchase, 2000. http://wwwlib.umi.com/cr/mo/fullcit?p9974703.
Full textGoldsmith, Laurie J. Ricketts Thomas C. "Access to health care for disadvantaged individuals a qualitative inquiry /." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2007. http://dc.lib.unc.edu/u?/etd,973.
Full textTitle from electronic title page (viewed Dec. 18, 2007). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Health Policy and Administration, School of Public Health." Discipline: Health Policy and Administration; Department/School: Public Health.
Liu, Xiaohui, and 刘晓辉. "Change in access to health care in Guangzhou, 1990-2009." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B4517328X.
Full textSubar, Paul Elliott. "Access to oral health care for vulnerable populations in California." Scholarly Commons, 2009. https://scholarlycommons.pacific.edu/uop_etds/2393.
Full textYang, Feng-An. "Three Essays on Access to Health Care in Rural Areas." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu152353045188255.
Full textGibson, P. Joseph. "Access to health care : Medicaid fee-for-service versus capitation /." Thesis, Connect to this title online; UW restricted, 1996. http://hdl.handle.net/1773/10882.
Full textKuang, Xiaoxin, Kiana R. Johnson, Karen Schetzina, Claudia Kozinetz, and David L. Wood. "An Ecological Model of Health Care Access Disparities for Children." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/5139.
Full textOu, Christine Hui-Kuan. "Health behavior, primary care access, and unmet health needs in Chinese young adults." Thesis, University of British Columbia, 2011. http://hdl.handle.net/2429/36752.
Full textWen, Siying, and 溫思穎. "Health insurance effects on health care access for rural residents in Guangzhou city." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46942749.
Full textSims, Anita. "Deprivation and health : social inequality and equity of access to health care services." Thesis, Sheffield Hallam University, 2003. http://shura.shu.ac.uk/20366/.
Full textDunkley-Hickin, Catherine. "Effects of primary care reform in Quebec on access to primary health care services." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=123121.
Full textLa réforme des soins de santé de première ligne occupe une place prioritaire parmi les réformes de santé, notamment avec une grande importance accordée à des équipes interdisciplinaires de professionnels de santé. Le modèle choisi par Québec, les groupes de médecine de famille (GMFs), a été mis en place à la fin de 2002. Ce modèle met l'emphase sur des équipes interprofessionnelles et vise à augmenter le nombre de Québécois avec un médecin de famille, ainsi qu'à offrir une plus grande accessibilité des services de la première ligne, notamment hors les heures normales de travail. Une décennie après leur implantation, j'ai étudié l'impact des GMFs sur diverses mesures d'accès aux soins de santé de première ligne. Je mets l'emphase sur l'accès potentiel – c'est-à-dire les mesures permettant de déterminer si un individu a la possibilité d'accéder aux soins de santé nécessaires, y compris d'avoir un médecin régulier.J'ai utilisé des données de sept cycles de l'Étude sur la santé dans les collectivités canadiennes pour capturer l'accès déclaré aux soins de première ligne et obstacles à cet accès. Il existe une variation régionale dans l'implantation des GMFs à travers les différentes régions sociosanitaires du Québec, ce qui me permet de construire une mesure de participation aux GMFs constituée de la proportion des médecins de première ligne pratiquant en GMF par région sociosanitaire et par année. J'ai employé une analyse qui consiste de modèles de différence-dans-les-différences modifiées qui utilise une analyse de régression multivariée pour contrôler les tendances temporelles, les différences constantes entre les régions, et les covariables au niveau individuel, le but étant d'estimer l'effet causal de la mise en œuvre des GMFs sur l'accès aux soins de santé de première ligne.J'ai vérifié que les différences de caractéristiques populationnelles et socio-économiques dans la période pré-politique entre les régions ayant un taux élevé par rapport à celles ayant un faible taux de participation aux GMFs sont raisonnables et fixes au cours des années de mon étude, rendant ainsi toute comparaison de ces régions appropriées. Les résultats suggèrent que les taux d'accès déclarés ont augmenté au fil du temps dans la plupart des régions sociosanitaires du Québec. Toutefois, ces mesures d'accès varient selon les régions et certains signalent toujours des taux inférieurs d'accès. Contrôlant pour les tendances temporelles, les différences fixes entre les régions, et les caractéristiques individuelles, l'accès déclaré ne change pas de manière significative avec l'augmentation de la participation aux GMFs.Un meilleur accès aux soins de santé de première ligne constituait l'un des principaux objectifs explicites de la réforme des soins de santé de première ligne de 2002. Mes résultats suggèrent que l'augmentation de la participation aux GMFs n'a pas amélioré plusieurs mesures importantes d'accès. En conséquence, des politiques supplémentaires pourraient être nécessaires pour accroître l'accès potentiel aux soins de santé de première ligne.
Al, Magrabi Katibah Saad Aldean. "Geographical aspects of health and use of primary health care services in Jeddah, Saudi Arabia." Thesis, University of Strathclyde, 2001. http://oleg.lib.strath.ac.uk:80/R/?func=dbin-jump-full&object_id=21426.
Full textBorders, Stephen Boyce. "Transportation barriers to health care: assessing the Texas Medicaid program." Texas A&M University, 2003. http://hdl.handle.net/1969.1/6016.
Full textKaylor, Mary. "Access to dental care for women of childbearingt age." The Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=osu1190144125.
Full textAsthana, Manisha. "Delay in access of health care in California A project report." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527358.
Full textDelay of health care negatively impacts patient satisfaction and contributes to an inefficient healthcare system by increasing the use of the emergency room for non-urgent conditions. Policymakers argue that long waits will result in delays in diagnosis and treatment, and these delays negatively affect individual health.
California is a diverse state and comprises of people from various ethnic backgrounds. Consequently, there are cultural, linguistic and various other underlying reasons which contribute towards the delay in health care.
Apart from this, California has a wide range of people, which varies in socioeconomic status and there is a large segment which delays health care due to lack of health insurance. This study focuses on analyzing the reasons behind the delay in health care among California residents and proposes remedies which can help mitigate the problem.
Fernández, Alexis Martínez. "Authorization schema for electronic health-care records : For Uganda." Thesis, KTH, Kommunikationssystem, CoS, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-101165.
Full textDetta examensarbete projektet startade vid Karolinska Universitetssjukhuset. Denna avhandling diskuterar hur man designar ett tillstånd schema fokuserat på att säkerställa varje patients dataskydd inom ett sjukhus informationssystem. Det börjar med en översikt över det aktuella problemet, följt av en genomgång av arbete. Projektets övergripande mål är att skapa och utvärdera ett tillstånd schema som kan garantera varje patient data sekretess. Bemyndigande har för närvarande blivit en mycket viktig aspekt i informationssystem, till den grad att vara nödvändigt att genomföra komplett system för hantering av åtkomstkontroll i vissa komplexa miljöer. Detta är i själva verket den strategi som detta examensarbete tar för att effektivt resonemang om en ansökan om godkännande i situationer där ett stort antal parametrar kan påverka i åtkomstkontroll bedömningen. Denna studie är en del av ICT4MPOWER projektet utvecklades i Sverige av både offentliga och privata organisationer i syfte att förbättra stödet sjukvård i Uganda med användning av informations-och kommunikationsteknik.<p> Mer konkret definierar detta arbete ett tillstånd schema som kan hantera de ökande behoven av sofistikerade metoder för åtkomstkontroll där en komplex miljö finns och politik kräver en viss flexibilitet.
D'Ambruoso, Lucia. "Care in obstetric emergencies : quality of care, access to care and participation in health in rural Indonesia." Thesis, University of Aberdeen, 2011. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=165859.
Full textMagnussen, Gaute, and Stig Stavik. "Access Control in Heterogenous Health Care Systems : A comparison of Role Based Access Control Versus Decision Based Access Control." Thesis, Norwegian University of Science and Technology, Department of Computer and Information Science, 2006. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-9295.
Full textRole based access control (RBAC) is widely used in health care systems today. Some of the biggest systems in use at Norwegian hospitals utilizes role based integration. The basic concept of RBAC is that users are assigned to roles, permissions are assigned to roles and users acquire permissions by being members of roles. An alternative approach to the role based access distribution, is that information should be available only to those who are taking active part in a patients treatment. This approach is called decision based access control (DBAC). While some RBAC implementations grant access to a groups of people by ward, DBAC ensures that access to relevant parts of the patients medical record is given for treatment purposes regardless of which department the health care worker belongs to. Until now the granularity which the legal framework describes has been difficult to follow. The practical approach has been to grant access to entire wards or organizational units in which the patient currently resides. Due to the protection of personal privacy, it is not acceptable that any medical record is available to every clinician at all times. The most important reason to implement DBAC where RBAC exists today, is to get an access control model that is more dynamic. The users should have the access they need to perform their job at all times, but not more access than needed. With RBAC, practice has shown that it is very hard to make dynamic access rules when properties such as time and tasks of an employees work change. This study reveals that pretty much all security measures in the RBAC systems can be overridden by the use of emergency access features. These features are used extensively in everyday work at the hospitals, and thereby creates a security risk. At the same time conformance with the legal framework is not maintained. Two scenarios are simulated in a fictional RBAC and DBAC environment in this report. The results of the simulation show that a complete audit of the logs containing access right enhancements in the RBAC environment is unfeasible at a large hospital, and even checking a few percent of the entries is also a very large job. Changing from RBAC to DBAC would probably affect this situation to the better. Some economical advantages are also pointed out. If a change is made, a considerable amount of time that is used by health care workers to unblock access to information they need in their everyday work will be saved.
Gagnon-Arpin, Isabelle. "Access to Health Care Services and Self-Perceived Health of Canada’s Official-Language Minorities." Thèse, Université d'Ottawa / University of Ottawa, 2011. http://hdl.handle.net/10393/20077.
Full textEneh, Ann. "Access to Primary Care in Pennsylvanian Rural Townships." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5075.
Full textCenafils-Brutus, Doudelyne. "Perceived Barriers to Oral Health Care Access for Massachusetts' Underserved Parents." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2717.
Full textOdeh, Michael. "Access to care in the State Children's Health Insurance Program (SCHIP)." CONNECT TO ELECTRONIC THESIS, 2006. http://hdl.handle.net/1961/3611.
Full textMcQuillan, Carol Bridget Veronica. "Relationships between need and access to health care in Northern Ireland." Thesis, University of Ulster, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268610.
Full textCowling, Thomas Edward. "Access to primary health care in England : policy, theory, and evidence." Thesis, Imperial College London, 2016. http://hdl.handle.net/10044/1/42497.
Full textHollingsworth, Alex. "Essays on the Determinants and Implications of Access to Health Care." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/556668.
Full textLeaney, Zelda. "Health care for female sex workers : need, risk, access & provision." Thesis, University of Bath, 2006. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.428357.
Full textKelly, Melinda R. "Factors Affecting Health Care Access and Utilization Among U.S. Migrant Farmworkers." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6592.
Full textLeung, Wai-Ching. "Equity of access to health care : case studies in primary care and coronary artery surgery." Thesis, University of East Anglia, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.249587.
Full textChauhan, Umesh. "Improving access to health care for minority ethnic populations with diabetes and heart disease." Thesis, University of Manchester, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.490119.
Full textChase, Ashley A. "Having your Cake and Eating it Too: Disparities in Access to Health Care within the United States." Miami University Honors Theses / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=muhonors1209134839.
Full textTaveras, Michelle P. "Access to Health Care and Patient Safety: A Model for Measurement and Analysis." Scholarly Repository, 2011. http://scholarlyrepository.miami.edu/oa_dissertations/697.
Full text